MEDICARE: SIMONE PATRICE CODERELLIS P. A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA0008220	CO
2	363AM0700X	Medical Physician Assistant	0008220	CO

General Provider Information

NPI Number	:	1285837799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE PATRICE CODERELLIS P. A.

Provider Business Mailing Address
First Line	:	7305 PEARLY HEATH RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-5640
Country	:	US
Telephone Number	:	404-275-6797
Fax Number	:

Provider Business Practice Location Address
First Line	:	5799 STETSON HILLS BLVD STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-4223
Country	:	US
Telephone Number	:	719-471-2273
Fax Number	:	719-325-8971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	12/24/2024

Similar Medicare Providers

1770430019 — SHARON LYNN SAWYER FNP PMHNP PLLC
Practice Location Address:

5799 STETSON HILLS BLVD
COLORADO SPRINGS, CO
80917-4223

Practice Phone: 480-470-9672
Practice Fax: 480-870-1478

1255785515 — SHANNON POWELL FNP
Practice Location Address:

5799 STETSON HILLS BLVD
COLORADO SPRINGS, CO
80917-4223

Practice Phone: 719-471-2273
Practice Fax: 719-380-0228

1770538159 — JANE D BROCKHAUSEN PA-C
Practice Location Address:

5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO
80917-4223

Practice Phone: 719-471-2273
Practice Fax: 719-380-0228

1104047612 — MR. BRUCE ALAN CHANEY PA-C
Practice Location Address:

5799 STETSON HILLS BLVD
COLORADO SPRINGS, CO
80917-4223

Practice Phone: 719-471-2273
Practice Fax: 719-380-0228

1528328234 — AMERICAN INJURY SOLUTIONS
Practice Location Address:

5799 STETSON HILLS BLVD , SUITE 100
COLORADO SPRINGS, CO
80917-4223

Practice Phone: 719-574-6162
Practice Fax:

1255686234 — GERARDO NERI FNP
Practice Location Address:

5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO
80917-4223

Practice Phone: 719-471-2273
Practice Fax: 719-325-8971

Directions to “ SIMONE PATRICE CODERELLIS P. A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.